Richard Thornell Sr.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP124687 Issued in TX

Practice address

11634 Purple Mint
San Antonio, TX 78245-3369

Phone

(210) 219-7332

NPI assigned

May 21, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1104238450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP BLDG 4554",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782365638",
            "telephone_number": "210-292-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11634 PURPLE MINT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453369",
            "telephone_number": "210-219-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNELL",
        "first_name": "RICHARD",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP124687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kate Thormahlen
• Ross Neal Thormahlen, MD
• Samantha Lee Thorman, PTA
• Kendra Lynn Thorn, M.D.
• Hunter Anne Thornberg, DO
• Richard Eric Thorner, MD
• Coryann Consuelo Thornock
• Andrew G Thornton, LPC
• Casey Thornton, PHD
• Celeste Thornton, P.A.

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.